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08-0509 (RPL)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 08-00000509 Property Address: 80745 VIA MONTECITO APN: 772-410-999-59 -298944- Application description: POOL - RESIDENTIAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 82000 Applicant: Architect or Engineer: dip BUILDING & SAFETY DEPARTMENT BUILDING PERMIT LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. License las: C53 C46 LicenseNo.: 384460 ate: `tractor: / OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: (_ 1 I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Cade: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does the work himself or herself through his or her own employees, provided that the improvements are not intended or offered for sale. If, however; the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or imprmrs for the purporn of anlo,). (_) 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). (_ 1 I am exempt under Sec. , BAP.C. for this reason Date: Owner: CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance. of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name: Lender's Address: LQPERn11T Owner: KEN & ANDREE NELSON 80745 VIA MONTECITO LA QUINTA, CA 92253 Contractor: ALTERNATIVE ENERGY P.O. BOX 564 PALM SPRINGS, CA (760)324-5880 Lic. No.: 384460 VOICE (760) 777=7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 4/01/08 92262 WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier STATE FUND Policy Number 0555371-2008 certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that, if I should become�J9's Nect to the workers' compensation provisions of Section 700 of the Labor Code, I tffori�iwith comply with those provisions. C Q� ` r te: ,'cant: WARNING: FAIL RE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND `DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT - IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on this application. 1 . Each person upon whose behalf this application is made, each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this application, the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents and employees for any act or omission related to the work being performed under or following issuance of this permit. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of thi ounty to enter uponv a ,'c�propertV for inspection pur ores-"` Jc Date: ! Uo gnature cantor v Application Number . . . . . 08-00000509 Permit . . BLDG POOL PERMIT Additional desc.. Permit Fee . . . . 558.50_ Plan Check Fee 363.03 Issue Date . . . . Valuation . . . . 82000 Expiration Date 9/28/08 Qty Unit Charge Per Extension BASE FEE 414.50 32.00 4.5000 THOU BLDG 50,001-100,000 144.00 ---------------------------------------------------------------------------- Permit . . . MECH POOL Additional desc . . Permit Fee 26.00 Plan Check Fee 6.50 Issue Date Valuation . . . . 0 Expiration Date 9/28/08 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 11.0000 EA MECH FURNACE >100K 11.00 ---------------------------------------------------------------------------- Permit . . . ELEC POOL PERMIT -RES Additional desc . Permit Fee . . . . 45.00 Plan Check Fee 11.25 Issue Date . . . . Valuation . . . . 0 Expiration Date 9/28/08 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 30.0000 EA ELEC PRIVATE SWIMMING POOL 30.00 ---------------------------------------------------------------------------- Permit . . . PLUMBING Additional desc . . Permit Fee 33.00 Plan Check Fee 8.25 Issue Date . . . . Valuation .. . . . 0 Expiration Date 9/28/08 Qt1r Unit Charge Pei Extension BASE FEE 15.00 2.00 6.0000 EA PLB FIXTURE 12.00 1.00 3.0000 EA PLB WATER INST/ALT/REP 3.00 1.00 3.0000 EA PLB GAS PIPE 1-4 OUTLETS 3.00 ---------------------------------------------------------------------------- Special Notes and Comments POOL/SPA. ALARMS/BARRIERS SHALL BE IN LQPERA4IT Application Number . . . . . 08-00000509 ----------------- -------------------------------------=---------------------- Special Notes and Comments PLACE AT PRE -PLASTER INSPECTION. .EQUIPMENT ENCLOSURE NOT INCLUDED. Fee summary Charged Paid Credited Due --------------------------------------------------------- Permit Fee Total 662.50 .00 .00 662.50 Plan Check Total 389.03 .00 .00 389.03 Grand Total 1051.53 .00 .00 1051.53 0 LQPERAI IT 11 Bin # City of La Quinta B m&W a< Safety Division P.O. Box 1504,. 78-495 Calle Tam4 W P�r"� La Qtdnta, CA 92253 - (760) 777-7012 . Building Permit Application and Tracidng Sheet Pmjed Address:• 0 ©— % y �q' eN Jae c r 7Lp Owner's Name: �.�� u � 14 .t�(r Q - Aj e �S o,�J A. P. Numbs: Address` Leal Desrrinfion:-- COIItradOl: j�CYNGL �!(/C � �/ � ✓ - Q %✓� � � - lam' /✓ L Address: —.�t�l�isr na �w City. ST, Zip: ' rlw �i`�a oS � � 2 �3 ", - S 4 (J"4, �t4 � �� State Lie. #: cityur—c A338 /36w Addmess: C4, sr. zir. Tdephona Coostn>aion type: Ory: Stale Lie. #: Projc a type (aitch one): New AMn Atter Repair Demo Name of Contact Persona �� v t C/' f7 t' S S% Ft:: #Stories # Units: Tdephone # of Contact Person: %6 6 3 y 8 Esfiwa od -Value of Project Soo APp[W.Mffs Dl) NOT VMM B9AW THS tM # SWb=ftW ReWd Reed TBACMG _ PBRMFr FMS Phis sels Pkra CLeekd lhar Amonnt shman al Berkwed, ready for ewredius Ptaa Ciak Deposit Trans Cala. Caikd Cadva Persati MR Cheek Babom EaaW Cake. Pbw bkked up COMSUMCCM Fkwd Alda plea Phas rambna®ed Merbuial Gmftg&W 2- Revim, resift for onrectioadissae Hectried Sabooataeto UM - Caned CosraetPersna PIamL'og Grant Deed Plass O&ed ap H.O.A. Appraival Plan— - Grading M HO(M- '^' Bedew, reader for earrW&M fmsx Dcr♦daper 15tipad Fee Pbtaahig Apps d Called Cadad Person Ades. Pah Wks. Appy Date er pmak faw Sebod Fees Tofal ra MR Fees EFPARO L l TREE T� TREE R FEPPE NG - N = i N !�b . R I NO!;�A � r 1 FR FR � 4 n , FR � 1 FR FRIJITLE'5 OLIVE \ TREE lam\ ' INK\-.'' ��� R5 C�' _--- 9 V0 n EAND 1L��L��1� — - 16 5' ht. pilo to ` r (1016) dayllght: pposite end N6 wall. 09- '. _NGEL I \ ��i,-- - ' 12" ht. plinth ,\ O +0 pool coping HP=101/0.2 i / `\ ' 12" ht. plinthPR ' TREE //o +0 12001 co in firel ool bent fIr +O" pool coping lis" ht. I• ' 6' ht. pilaster ba in cap 21 wtr. "�- +15" ht. s a r--- p ' 6' ht. wall g1,0 I- POOL i lature i Iiii Wi , ! � j depth- - ! t H-7:...._,.�j___...s.__ Ei;:TINE PaLGKMiINCG _. _ u 5' ht. wQ I Is (1=.6.-T.W) i u i ii� MIA �r • J. LIN. • • 1� pdiningroo IN e x• �� •..gam • • _ - bath �Ile • . �■.� a 5 fi dw livingzo ■ j,"y � A j --kitchen• _ • J 16-10FFE= 1016.0 PE= 1015.5 "All 5' ht. walls is M 2 car garage 5' ht. walls (1=.6- to T.W.) 4'-1 ht. wd I (i=.6. to T.W. on high pad side.) 5'-6" ht. wall (i=.6, to T.J, 1..on on high pad side.) averstone (F.6' to 4'-6" ht. pilasters 5'-6" ht. pilaster .6. to T.W.) motorcourt 3'_6 ' ht. wa l l pot (1=-6. to TA)�/ o_ / / \ 1 HR CITY GF L:� f-� ' A BUILDiNG &,- HR APPROVEO FOR CO 1>ziB �- \ — — STRUCT►Os°V R ,B paverstone / -,\+RiB� driveway / / \ \\ DA ^O BY 57 GTRUS TREE - PTWj PTWj �PTW�` ILMA ,LMS O. 8 ft. 16 ft. 6RAPH I G SGALE ' 1/5"_11_011 NORTH 52 ft. I BASE INFORMATION PRO\/IDED BY: DEMETR I OU AROH I TEOT5, i'G I RKLUND, NA5H I NGTON a a .as O c� 0 cts U � O 'o a po•~ O i .0 W ami Approved By: Date: 3/I O/05 Sca e: a (� 11=1 I-oil =1'-o" Drawn By: - PJH Job No. N 6034 W 0 N LS -1 0 o m VE 1w --D a � 0 a � .•- > �t P-4 NcE � co 0) Or-- U� o� A .� E is �0 Ma 4-3 P—{ IAs ,o o t 0 jj< a a <1< a a .as O c� 0 cts U � O 'o a po•~ O i .0 W ami Approved By: Date: 3/I O/05 Sca e: (� 11=1 I-oil =1'-o" Drawn By: - PJH Job No. N 6034 W 0 N LS -1 VE 1w --D a � 0 � .•- > �t P-4 NcE � co 0) Or-- A .� �0 Ma 4-3 P—{ a a .as O c� 0 cts U � O 'o a po•~ O i .0 W ami Approved By: Date: 3/I O/05 Sca e: (� 11=1 I-oil =1'-o" Drawn By: - PJH Job No. 6034 Sheet No. LS -1 IL 0